Title: Constrictive pericarditis - still a prevalent cause of heart failure
- Cezary Poszwiński, Tomasz Pasierski, Jan Herburt-Heybowicz
- Case Reports
- Polish Journal of Cardiology
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- constrictive pericarditis, Doppler echocardiography, heart failure
In the past, constrictive pericarditis was a frequent cause of the right ventricular failure, but is rarely diagno-sed nowadays. Cardiac failure caused by constrictive pericarditis is usually resistant to pharmacotherapy and surgical pericardiectomy is the treatment of choice. We present the case report of constrictive pericarditis confirmed by pericardiectomy in 67-year old man suffering from heart failure for many years. Diagno-sis of constrictive pericarditis was supported by the presence of pericardial calcifications on chest X-ray and positive results of Doppler echocardiography, while magnetic resonance imaging was inconclusive. After pericardiectomy fast recovery of heart failure was observed. The efficacy and limitations of available methods for the diagnosis of constrictive pericarditis are discussed.